最大手术血液订单时间表:在神经外科手术中,术前血液管理的关键组成部分
Shivanand Hemant Kumatagi1, Vinu Rajendran1, Amita Radhakrishnan Nair1
1Department of Transfusion Medicine, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Asian journal of transfusion science
|November 17, 2025
概括
在神经外科手术中实施最大手术血顺序计划 (MSBOS) 显著改善了血液利用率,并减少了不必要的交叉匹配. 该协议提高了手术环境中的输血效率和患者安全.
科学领域:
- 输血医学 输血医学
- 神经外科 神经外科
- 麻醉学 麻醉学
背景情况:
- 研究所特定的协议对于最大限度地减少不必要的血液交叉匹配至关重要.
- 目前的协议包括不需要血液的程序的类型和选,以及需要血液的程序的最大手术血液订单时间表 (MSBOS).
研究的目的:
- 通过比较实施前和实施后的输血实践,评估在神经外科手术中实施最大手术血液订单时间表 (MSBOS) 的影响.
主要方法:
- 一项为期5年的研究 (4年后期,1年前期) 涉及18岁以上接受神经外科手术的患者.
- 基于回顾性数据开发MSBOS;实施和比较输血指数 (输血比率的交叉匹配,血液利用率,类型和查率) 实施前和后.
- 不包括紧急手术,大规模输血和患有出血障碍的患者.
主要成果:
- 从3.6降低了交叉匹配到输血的比率,从2.4降低到2.4.
- 血液利用率从27.40%增加到41.55%.
- 类型和查利用率从18%提高到75%;在18项采用类型和查管理的手术中,7项不需要手术期间输血.
结论:
- 制定MSBOS需要考虑诊断和程序.
- 修改过的输血指数和概率公式对于修改MSBOS是有价值的.
- 这项研究强调了MSBOS在优化神经外科手术中的血液管理方面的有效性.
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